Organization
EMD GROUP HOME, LLC
Active
Organization
EMD GROUP HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYSE ISAMBO (CEO)
(571) 295-1350
Entity
Organization
Contact information
Practice address
15113 HOLLEYSIDE DR, MONTCLAIR, VA 22025-1050
(571) 295-1350
Mailing address
15113 HOLLEYSIDE DR, MONTCLAIR, VA 22025-1050
(571) 295-1350
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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